340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PIONEER DRUG #2
FQHCLA420 COMMUNITY HEALTH CENTERS OF AMERICA
Print
Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF AMERICA
Subdivision Name
CHCA Mariposa
Type
Health Center Program Look-Alike
340B ID
FQHCLA420
Entity Address
5320 State Highway 49 N Ste 1
Mariposa, CA 95338-9588
Grant Number
LALCS40180
Participating Start Date
7/1/2024
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
PIONEER DRUG #2
Pharmacy Address
397 5TH ST
GUSTINE, CA 95322-1236
Pharmacy Comments
Contract Details
Approval Date
3/1/2023
Contract Begin Date
3/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/5/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Naresh Channaveerappa, CEO
(209) 678-0990
Contract Pharmacy Representative
Pioneer Pharmacy
Ralph Klopping, Owner & Pharmacist
(209) 854-1007
Signed By Date
3/1/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session